Conservative management of traumatic atlanto-occipital luxation and atlanto-axial subluxation in a dog

Megan Madden, Dafni Sivolapenko, Abi Johnson, Joanna Lodzinska, John Ryan, Anna Sunol Iniesta

Research output: Contribution to journalEditorialpeer-review

Abstract

A 3-year-old 16.2-kg sexually intact female Cocker Spaniel was presented to the referring veterinarian following a road traffic accident. On emergency assessment, the dog was distressed and tachycardic with extensive superficial wounds to the head and neck, frequent intermittent vocalization, and severe cervical hyperesthesia. The remainder of the physical examination findings were unremarkable. Point-of-care ultrasonography revealed no free fluid in the thorax or abdomen. Results of a minimum emergency clinicopathologic analysis were considered normal. The dog's condition was stabilized with IV fluid therapy and multimodal analgesia, including meloxicam (0.2 mg/kg, IV, q 24 h), acetaminophen (10 mg/kg, IV, q 12 h), methadone (0.5 mg/kg, IV, q 4 h), and a constant rate infusion of ketamine (3 μg/kg/min, IV).
Original languageEnglish
JournalJournal of the American Veterinary Medical Association
Volume259
Issue number8
Early online date15 Oct 2021
DOIs
Publication statusE-pub ahead of print - 15 Oct 2021

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